| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,121.08 | $4,769.51 | $5,176.04 | |
Cigna
| Facility | $507.00 | $507.00 | $641.21 | |
Kaiser Permanente
| Professional | $729.61 | $941.20 | $1,222.08 | |
United
| Facility | $520.00 | $520.00 | $733.00 |